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General NPI Number Information
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NPI Number | 1669510061
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Entity Type | Individual
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Provider Name | WAJAHAT AKHTAR D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 3253 HARLEM AVE
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City | BERWYN
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State | IL
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Zip | 60402-2996
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Country | US
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Telephone | 708-788-3880
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Fax | 708-788-4757
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Provider Business Mailing Address
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Address Line | 3253 HARLEM AVE
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City | BERWYN
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State | IL
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Zip | 60402-2996
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Country | US
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Telephone | 708-788-3880
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Fax | 708-788-4757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038010321
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License Number State | IL
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